Composition of a Vision Screen for Servicemembers With Traumatic Brain Injury: Consensus Using a Modified Nominal Group Technique / Mary V. RADOMSKI in American Journal of Occupational Therapy, Vol. 68/4 (juillet - août 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 422-429 Titre : Composition of a Vision Screen for Servicemembers With Traumatic Brain Injury: Consensus Using a Modified Nominal Group Technique Type de document : texte imprimé Auteurs : Mary V. RADOMSKI ; Imelda LLANOS ; Marsha Finkelstein ; et al. Année de publication : 2014 Article en page(s) : p. 422-429 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Dépistage  Hémorragie cérébrale Résumé : Vision impairment is common in the first year after traumatic brain injury (TBI), including among service members whose brain injuries occurred during deployment in Iraq and Afghanistan. Occupational therapy practitioners provide routine vision screening to inform treatment planning and referral to vision specialists, but existing methods are lacking because many tests were developed for children and do not screen for vision dysfunction typical of TBI. An expert panel was charged with specifying the composition of a vision screening protocol for servicemembers with TBI. A modified nominal group technique fostered discussion and objective determinations of consensus. After considering 29 vision tests, the panel recommended a nine-test vision screening that examines functional performance, self-reported problems, far–near acuity, reading, accommodation, convergence, eye alignment and binocular vision, saccades, pursuits, and visual fields. Research is needed to develop reliable, valid, and clinically feasible vision screening protocols to identify TBI-related vision disorders in adults. Permalink : ./index.php?lvl=notice_display&id=34416 [article] Composition of a Vision Screen for Servicemembers With Traumatic Brain Injury: Consensus Using a Modified Nominal Group Technique [texte imprimé] / Mary V. RADOMSKI ; Imelda LLANOS ; Marsha Finkelstein ; et al. . - 2014 . - p. 422-429. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 422-429 Mots-clés : Accident cérébrovasculaire  Dépistage  Hémorragie cérébrale Résumé : Vision impairment is common in the first year after traumatic brain injury (TBI), including among service members whose brain injuries occurred during deployment in Iraq and Afghanistan. Occupational therapy practitioners provide routine vision screening to inform treatment planning and referral to vision specialists, but existing methods are lacking because many tests were developed for children and do not screen for vision dysfunction typical of TBI. An expert panel was charged with specifying the composition of a vision screening protocol for servicemembers with TBI. A modified nominal group technique fostered discussion and objective determinations of consensus. After considering 29 vision tests, the panel recommended a nine-test vision screening that examines functional performance, self-reported problems, far–near acuity, reading, accommodation, convergence, eye alignment and binocular vision, saccades, pursuits, and visual fields. Research is needed to develop reliable, valid, and clinically feasible vision screening protocols to identify TBI-related vision disorders in adults. Permalink : ./index.php?lvl=notice_display&id=34416

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Development and Preliminary Reliability of a Multitasking Assessment for Executive Functioning After Concussion / Laurel B. SMITH in American Journal of Occupational Therapy, Vol. 68/4 (juillet - août 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 439-443 Titre : Development and Preliminary Reliability of a Multitasking Assessment for Executive Functioning After Concussion Type de document : texte imprimé Auteurs : Laurel B. SMITH ; et al. ; Leslie FREEMAN DAVIDSON ; Mary V. RADOMSKI Année de publication : 2014 Article en page(s) : p. 439-443 Langues : Anglais (eng) Mots-clés : Hémorragie cérébrale  Handicap physique Résumé : OBJECTIVES. Executive functioning deficits may result from concussion. The Charge of Quarters (CQ) Duty Task is a multitask assessment designed to assess executive functioning in servicemembers after concussion. In this article, we discuss the rationale and process used in the development of the CQ Duty Task and present pilot data from the preliminary evaluation of interrater reliability (IRR). METHOD. Three evaluators observed as 12 healthy participants performed the CQ Duty Task and measured performance using various metrics. Intraclass correlation coefficient (ICC) quantified IRR. RESULTS. The ICC for task completion was .94. ICCs for other assessment metrics were variable. CONCLUSION. Preliminary IRR data for the CQ Duty Task are encouraging, but further investigation is needed to improve IRR in some domains. Lessons learned in the development of the CQ Duty Task could benefit future test development efforts with populations other than the military. Permalink : ./index.php?lvl=notice_display&id=34418 [article] Development and Preliminary Reliability of a Multitasking Assessment for Executive Functioning After Concussion [texte imprimé] / Laurel B. SMITH ; et al. ; Leslie FREEMAN DAVIDSON ; Mary V. RADOMSKI . - 2014 . - p. 439-443. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 439-443 Mots-clés : Hémorragie cérébrale  Handicap physique Résumé : OBJECTIVES. Executive functioning deficits may result from concussion. The Charge of Quarters (CQ) Duty Task is a multitask assessment designed to assess executive functioning in servicemembers after concussion. In this article, we discuss the rationale and process used in the development of the CQ Duty Task and present pilot data from the preliminary evaluation of interrater reliability (IRR). METHOD. Three evaluators observed as 12 healthy participants performed the CQ Duty Task and measured performance using various metrics. Intraclass correlation coefficient (ICC) quantified IRR. RESULTS. The ICC for task completion was .94. ICCs for other assessment metrics were variable. CONCLUSION. Preliminary IRR data for the CQ Duty Task are encouraging, but further investigation is needed to improve IRR in some domains. Lessons learned in the development of the CQ Duty Task could benefit future test development efforts with populations other than the military. Permalink : ./index.php?lvl=notice_display&id=34418

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Effectiveness of Interventions to Address Cognitive Impairments and Improve Occupational Performance After Traumatic Brain Injury / Mary V. RADOMSKI in American Journal of Occupational Therapy, Vol. 70/3 (mai - juin 2016)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 70/3 (mai - juin 2016) Titre : Effectiveness of Interventions to Address Cognitive Impairments and Improve Occupational Performance After Traumatic Brain Injury : A Systematic Review Type de document : texte imprimé Auteurs : Mary V. RADOMSKI ; Mattie Anheluk ; M. Penny BARTZEN ; et al. Année de publication : 2016 Langues : Anglais (eng) Mots-clés : Ergothérapie  Accident cérébrovasculaire  Activités vie quotidienne  Thérapie cognitive  Ordinateur  Fonction exécutive Résumé : OBJECTIVE. To determine the effectiveness of interventions addressing cognitive impairments to improve occupational performance for people with traumatic brain injury. METHOD. A total of 37 studies met inclusion criteria: 9 Level I systematic reviews, 14 Level I studies, 5 Level II studies, and 9 Level III studies. RESULTS. Strong evidence supports use of direct attention training, dual-task training, and strategy training to optimize executive functioning, encoding, and use of memory compensations, including assistive technology. However, in most studies, occupational performance was a secondary outcome, if it was evaluated at all. CONCLUSION. Although evidence supports many intervention approaches used by occupational therapy practitioners to address cognitive impairments of adults with traumatic brain injury, more studies are needed in which occupational performance is the primary outcome of cognitive intervention. Permalink : ./index.php?lvl=notice_display&id=44346 [article] Effectiveness of Interventions to Address Cognitive Impairments and Improve Occupational Performance After Traumatic Brain Injury : A Systematic Review [texte imprimé] / Mary V. RADOMSKI ; Mattie Anheluk ; M. Penny BARTZEN ; et al. . - 2016. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 70/3 (mai - juin 2016) Mots-clés : Ergothérapie  Accident cérébrovasculaire  Activités vie quotidienne  Thérapie cognitive  Ordinateur  Fonction exécutive Résumé : OBJECTIVE. To determine the effectiveness of interventions addressing cognitive impairments to improve occupational performance for people with traumatic brain injury. METHOD. A total of 37 studies met inclusion criteria: 9 Level I systematic reviews, 14 Level I studies, 5 Level II studies, and 9 Level III studies. RESULTS. Strong evidence supports use of direct attention training, dual-task training, and strategy training to optimize executive functioning, encoding, and use of memory compensations, including assistive technology. However, in most studies, occupational performance was a secondary outcome, if it was evaluated at all. CONCLUSION. Although evidence supports many intervention approaches used by occupational therapy practitioners to address cognitive impairments of adults with traumatic brain injury, more studies are needed in which occupational performance is the primary outcome of cognitive intervention. Permalink : ./index.php?lvl=notice_display&id=44346

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Occupational Therapy for Servicemember and Veteran Recovery, Resilience, and Reintegration: Opportunities for Societal Contribution and Professional Transformation / Mary V. RADOMSKI in American Journal of Occupational Therapy, Vol. 68/4 (juillet - août 2014)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 379-380 Titre : Occupational Therapy for Servicemember and Veteran Recovery, Resilience, and Reintegration: Opportunities for Societal Contribution and Professional Transformation Type de document : texte imprimé Auteurs : Mary V. RADOMSKI ; Teresa L. BRININGER Année de publication : 2014 Article en page(s) : p. 379-380 Langues : Anglais (eng) Mots-clés : Psychopathologie Permalink : ./index.php?lvl=notice_display&id=34425 [article] Occupational Therapy for Servicemember and Veteran Recovery, Resilience, and Reintegration: Opportunities for Societal Contribution and Professional Transformation [texte imprimé] / Mary V. RADOMSKI ; Teresa L. BRININGER . - 2014 . - p. 379-380. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 68/4 (juillet - août 2014) . - p. 379-380 Mots-clés : Psychopathologie Permalink : ./index.php?lvl=notice_display&id=34425

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